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[中药注射剂不良反应的研究进展]

[Research progress of adverse reactions of traditional Chinese medicine injections].

作者信息

Tan Le-Jun, Wang Meng, Zhu Yan

出版信息

Zhongguo Zhong Yao Za Zhi. 2014 Oct;39(20):3889-98.

Abstract

Traditional Chinese medicine injections (TCMIs) originated in china, which was fast-acting with high bioavailability. TCMI is applied widely in clinic since it plays an important role for therapy severe and acute disease, such as cardiovascular diseases (CVD), infectious diseases, malignancy, and etc. However, the adverse reactions reported of TCMIs are increasing in recent years. For this, the review summarized systematically the reports and researches of adverse drug reactions (ADRs) of TCMIs according to about 100 literatures in the nearly five years. The ADR of TCMIs mainly includes allergic reaction, respiratory damage, digestive system damage, cardiovascular system damage and urinary system damage, and etc. The main causes are relative with complexity, uncertainty and instability of the drug material. Influence of excipients, pharmaceutical technologies, drug combination and application method was also discussed. There are many methods on adverse reactions of TCMIs, including descriptive studies, analytical epidemiology and experimental studies. This article provided necessary information for reasonable application of TCMIs in clinical practice.

摘要

中药注射剂起源于中国,具有起效快、生物利用度高的特点。由于其在治疗重症和急性疾病(如心血管疾病、传染病、恶性肿瘤等)中发挥重要作用,因此在临床上被广泛应用。然而,近年来有关中药注射剂不良反应的报道日益增多。为此,本综述根据近五年约100篇文献,系统总结了中药注射剂药物不良反应(ADR)的报道与研究。中药注射剂的不良反应主要包括过敏反应、呼吸系统损害、消化系统损害、心血管系统损害和泌尿系统损害等。主要原因与药物原料的复杂性、不确定性和不稳定性有关。还讨论了辅料、制药技术、药物配伍及应用方法的影响。关于中药注射剂不良反应的研究方法有很多,包括描述性研究、分析性流行病学和实验性研究。本文为临床合理应用中药注射剂提供了必要信息。

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